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Management of Peripheral and Truncal Venous Injuries
Triantafillos G Giannakopoulos1, Efthymios D Avgerinos2
1Vascular Surgery Department, Athens Naval & Veterans Hospital, Athens, Greece.
Frontiers in Surgery
|September 9, 2017
Summary
Civilian vascular injuries, often from accidents and violence, are rising. While peripheral venous trauma has varied treatments, critical truncal venous injuries require urgent attention, with endovascular techniques showing promise.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Emergency Medicine
Background:
- Civilian injuries, particularly vascular trauma, are increasing globally.
- Road traffic accidents and urban violence are primary causes of these injuries.
- Vascular injuries present significant morbidity and mortality challenges.
Purpose of the Study:
- To review current management strategies for civilian vascular injuries.
- To highlight the challenges in treating peripheral venous trauma.
- To emphasize the critical nature of truncal venous injuries and explore novel treatment options.
Main Methods:
- Literature review of civilian vascular trauma.
- Analysis of peripheral venous injury management (ligation vs. repair).
- Evaluation of operative and endovascular approaches for truncal venous injuries.
Main Results:
- Peripheral venous trauma management remains controversial.
- Non-compressible truncal venous injuries are life-threatening, necessitating high clinical suspicion.
- Endovascular adjuncts show promising outcomes for severe vascular injuries.
Conclusions:
- Effective management of civilian vascular injuries requires a high index of suspicion, especially for truncal venous insults.
- Endovascular techniques represent a promising advancement in treating these critical conditions.
- Further research into endovascular adjuncts is warranted to improve patient outcomes.
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